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General NPI Number Information
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NPI Number | 1790697662
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Entity Type | Organization
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Legal Business Name | JCI OPTICAL, LLC
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Dates
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Enumeration Date | 09/17/2026
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Last Update Date | 09/17/2026
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Provider Practice Location Address
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Address Line | 14177 LAKE NONA BLVD STE 1070
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City | ORLANDO
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State | FL
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Zip | 32824-7421
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Country | US
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Telephone | 646-884-2927
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Fax |
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Provider Business Mailing Address
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Address Line | 14177 LAKE NONA BLVD STE 1070
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City | ORLANDO
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State | FL
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Zip | 32824-7421
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Country | US
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Telephone | 646-884-2927
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOYCE PENA
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Credential |
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Telephone | 646-884-2927
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State |
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